MEHRAN MIDIA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035416

License Status

EXPIRED

Business

First Name

MEHRAN

Last Name

MIDIA

Business Name

MEHRAN MIDIA

Original Issue Date

07/18/1996

Effective Date

07/18/1996

Expiration Date

10/27/2000

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/14/2011